Medicaid is a joint federal and state program that provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States.
Many different groups of people may be eligible for Medicaid in Maryland. As part of health reform, Maryland expanded Medicaid to nearly all adults under age 65 with incomes at or below 138% of the Federal Poverty Level or about $1,468 per month for a household of one person in 2020.
To be eligible for Medicaid, applicants must meet Medicaid eligibility requirements. Medicaid requirements are based on state and federal law. Some requirements, such as income limits, vary for different groups of people and household sizes.
For more information about Medicaid eligibility, click on the links below. The only way to know for sure if you are eligible for Medicaid is to apply.
Medicare Savings Program
If you need assistance with Medicare co-pays, deductibles and premiums, you can apply for the Medicare Savings Programs. These programs are based on your income and can help to reduce your out-of-pocket expenses associated with Medicare.
Qualified Medicare Beneficiary Program (QMB)
The QMB Program is a state program that helps pay for your Part A premiums, Part B premiums, deductibles, coinsurance, and copayments
The SLMB Program is a state program that helps pay Part B premiums for people who have Part A and limited income and resources.
Low-Income Subsidy: Extra Help
Extra Help is a program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance. It is administered by the Social Security Administration and helps to make prescription medication more affordable for those that are eligible.
Maryland Senior Prescription Drug Assistance Program
The Senior Prescription Drug Assistance Program (SPDAP) is a subsidy program established by the Maryland General Assembly in 2005 to provide financial assistance to moderate-income Maryland residents who are eligible for Medicare and are enrolled in a prescription drug plan.
SPDAP offers beneficiaries assistance with paying their Medicare Part D premium each month. The benefits covers up to $50 toward the cost of a Medicare Part D plan each month and is meant to help ensure Marylanders are able to afford prescription drug coverage. The benefit also offers some assistance to those that may fall into the coverage gap or donut